Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $58.00 / $242.57	Facility		$15.51	$58.00	$242.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $23.99 / $52.11	Professional		$14.89	$23.99	$52.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $127.75 / $265.77	Facility		$56.70	$127.75	$265.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $34.57 / $78.65	Professional		$16.05	$34.57	$78.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $60.90 / $84.10	Professional		$40.60	$60.90	$84.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.60 / $13,785.00 / $13,785.00	Facility		$40.60	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $40.60 / $40.60	Professional		$40.60	$40.60	$40.60
United Facility/Professional Facility Modifier Low / Median / High Price $31.90 / $31.90 / $58.00	Facility		$31.90	$31.90	$58.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $31.36 / $41.04	Professional		$15.05	$31.36	$41.04